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00:03 | Morning. See if I do it way. It doesn't help, does |
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00:13 | ? Yeah. All right. So , what we're doing is we are |
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00:25 | up with the epithelium, uh or in, we're gonna just look at |
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00:29 | nails and glands and then what we're do is we're gonna jump into ose |
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00:34 | , which um kind of serves as baseline of the background to understand the |
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00:39 | themselves. So our starting point is nail. This is more a more |
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00:46 | less a let me just memorize the are sure to get one on the |
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00:49 | . That's about it. Um There a theme though that if you've been |
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00:54 | attention, you notice that in the when we've talked about the epithelium there |
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00:57 | when we talk about the epidermis, was an underlying layer on which |
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01:02 | When we looked at the hair, had a matrix which had all the |
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01:05 | cells and that's where all the cells from. And the same thing is |
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01:09 | on here in the nails, we an underlying tissue from which nails |
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01:14 | Now, I'm gonna start there even the list is not there. |
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01:18 | So the starting place is here in nail matrix. Your nail matrix sits |
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01:23 | down deep. All right. And about which way your nail grows. |
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01:28 | it grow this way or does it that way? If the, if |
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01:31 | pointing, does it grow upward or it grow outward? Goes outward? |
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01:35 | right. So you can see what doing is from the nail matrix. |
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01:39 | are producing the bed on which it and from which that plate is growing |
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01:47 | . So when you think of a , the thing you're looking at is |
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01:49 | plate underlying the plate is the If you want to make this |
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01:53 | if you ripped your nail off, would look at the bed. All |
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01:57 | , the plate is the hard part . Now, in and of |
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02:03 | that's, that's basically all you need know about a nail. Why do |
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02:06 | have nails? Well, it helps to grip and grasp on to |
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02:10 | Um It also helps to protect the of your fingers if you've ever, |
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02:14 | you're like me and you bite your because reasons um if you've ever bitten |
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02:19 | too low or if you've trimmed your too low, you know how it |
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02:23 | a lot, right? It's because is a very, very sensitive area |
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02:27 | us to understand what it is that grabbing and gripping. All right. |
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02:32 | it's there to help protect that underlying . The, the very tips of |
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02:37 | fingers. Now, there's some other I just want to point out just |
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02:40 | , uh, if you've ever wondered that white part is, it's called |
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02:43 | nu. All right. Um, cuticle is not the things on the |
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02:48 | . The cuticle is the portion It's a little layer of skin that |
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02:53 | the matrix. So it's the part down here and it's also called the |
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03:00 | . Um, I don't have it here, but if you ever want |
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03:02 | know the area underneath the nail, , is called the Hypo Nicki. |
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03:06 | if you saw, um, uh, uh, put, put |
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03:11 | boots, did you see that some you, do you remember when he |
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03:15 | the Spanish, uh the Spanish splinter the Spanish toothpick? I can't remember |
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03:19 | you call it when he stuck the into the Yeah, right in the |
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03:24 | . So that's not a lot of if you ever jabbed it in |
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03:27 | Something in there. Not a lot fun. All right. So that |
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03:30 | the nail. And then what we're do is moving on to the |
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03:36 | Uh There are two different types of associated with the skin and we're going |
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03:40 | start with the one that we all , which is a sebaceous gland. |
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03:43 | the reason we hate it is because around the age of 12 to |
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03:47 | all of a sudden you woke up big volcanoes on your face. All |
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03:51 | . And these are a function of type of glands, the sebaceous |
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03:54 | all right. They produce an oily . This substance is called sebum. |
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03:58 | can see here in our little there is a sebaceous gland, there |
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04:03 | a hair follicle. The sebaceous gland typically associated with that. All |
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04:08 | the sea bum is important for you what it does is it kills things |
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04:14 | the surface of your body, It's bacterial cyle in nature, meaning |
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04:20 | contains within it proteins that kill off . So it's a protective barrier. |
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04:26 | also contains in it RN A and Aces. So it also serves as |
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04:30 | first line defense against other microorganisms, like a virus. All right. |
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04:35 | what I want you to do is want you to think about it being |
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04:37 | . So what do we do every with ac we wash it off, |
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04:42 | we? Yeah. So what? so we washed and all the other |
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04:50 | that stink. But in the we're also clearing away the layer that |
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04:53 | protects us. So this is natural of protection. So you have to |
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04:58 | kind of choose which is better stinking you know, soap also kills |
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05:04 | So that's why it works. All . Now, the other thing, |
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05:08 | , first off, it's a holocrine glance or remember holocrine, what type |
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05:12 | secretions it's producing, right? It's oil stuff. It's the cell rupturing |
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05:19 | releasing that, that goo, that cell made into the pores and what |
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05:24 | does is in these hair follicles. it's coating and softening hair. So |
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05:29 | find pictures on the internet. So is one of the reasons why you |
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05:31 | post pictures of yourself on the don't make them available because I just |
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05:36 | the oily student and this is what get. Yeah. Yeah. And |
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05:43 | just terrible. I mean, that was my search term, |
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05:47 | I don't know whose student they but you can see I was |
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05:49 | there's oily hair, you can see on the face. And so what |
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05:53 | doing is we're putting this oily substance the surface of our skin to protect |
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05:58 | also in our hair to soften it and also to protect the hair cells |
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06:02 | it has a lot of fats in . It also helps to prevent excessive |
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06:07 | loss, but mostly it's there as . All right, moving from |
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06:12 | we're gonna go off to the second of gland when we think of |
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06:16 | This is what we think of when think of glands. This is typically |
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06:19 | we think of as the p Sudi . And there are two types, |
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06:22 | is called the meri or eg the one is a sweat gland. Notice |
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06:28 | we covered all three different types of structures in this little thing here. |
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06:34 | right. So here you can see where they're located, we have an |
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06:39 | that's associated with hair follicles. Notice is different than the sebaceous gland. |
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06:43 | right, here, we can see meri gland. It opens up directly |
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06:46 | the surface of the skin. these are everywhere on your body. |
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06:51 | two exceptions. First, is the . Why the nipple? Well, |
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06:54 | nipple is an actual sweat gland. right. So when we think of |
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06:59 | and we think of lactation, this a function of a type of gland |
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07:04 | has been modified for a different purpose mammals. All right, we move |
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07:08 | from there. You won't talk about again until reproduction because it makes you |
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07:13 | uncomfortable, doesn't it? Ok. . All right. The other type |
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07:19 | . Well, that's a whole another of wax. So anyway, start |
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07:26 | the ari sweat glance. All Now, arin sweat gland is when |
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07:30 | think about sweating, we typically think sweating underneath our arms. All |
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07:34 | And that's not true. I no notice when you were walking over |
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07:38 | in the, what is it? degree heat right now? At 8 |
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07:40 | in the morning? I mean, you notice that you're sweating all over |
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07:43 | body? Did you notice that? ? Ok. So notice that when |
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07:49 | think about sweating, we normally think our pits, but really, our |
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07:52 | body plays a role in sweating. Arquin sweat glands are weird because they're |
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07:58 | in two specific areas. In the as well as in the anogenital |
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08:03 | So basically in your crotch. All . Now, these are basically emptying |
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08:10 | into the hair follicles and it kind makes sense. Think about what you |
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08:13 | underneath your under, in your right? You have hair follicles and |
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08:18 | it's doing is secreting this thicker material these structures. Now, what the |
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08:24 | is that it's producing is not just , but it has fats and it |
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08:29 | proteins in it and the fats and proteins are very attractive to bacteria who |
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08:35 | like to live in warm wet right? Which would be the pet |
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08:38 | in the crotch. And what they is they now have a food source |
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08:42 | they can consume and in doing their byproducts of consumption is this stinky |
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08:47 | that we then call body odor kind weird. Huh? Your body odor |
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08:52 | really your odor. It's the stuff lives on you odor. So if |
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08:55 | says you stink, say no, , no. It's the bacteria on |
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09:00 | . I don't, I don't know that's better. So, all |
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09:03 | Anyway, so why do we have ? Well, we don't really |
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09:09 | All right, you, whenever you at something, the question you ask |
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09:12 | is, does it have a Does it serve its purpose? Does |
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09:16 | in our pits and in our crotch us down because that is one of |
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09:20 | primary purposes of sweat is thermodynamic or regulation. And the answer is |
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09:25 | it really doesn't. But the interesting is these types of glands do not |
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09:30 | particularly active until at puberty or All right. So, I have |
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09:36 | boys who are 12 years old. is in the midst of puberty. |
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09:39 | hasn't started yet. One stinks to heaven. The other one does not |
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09:45 | . He still stinks. He smells a wet dog because that's what a |
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09:48 | boys smell like. They smell like dogs. You didn't know that. |
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09:52 | wait. Yeah. And then you to puberty and then they stink worse |
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09:57 | a wet dog. And guys can to this. Right? We, |
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10:01 | know right. But what happens is now we're sweating through with these |
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10:08 | and it's presumed these may actually serve a sexual scent gland, right? |
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10:14 | most other mammals, uh, tell , the opposite sex that they are |
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10:20 | mature through sexual scent glands. I , typically if they do so, |
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10:25 | they are uh estrus type animals, do. So at specific times of |
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10:30 | . So you, if you have cat or a dog, you know |
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10:32 | they go into heat at a specific of year. And part of the |
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10:35 | that the other sect knows that they in the, producing a scent that |
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10:40 | animal actually recognizes humans do not have sexual cycle. We do not live |
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10:46 | cats and dogs and only are capable producing once a very small portion of |
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10:51 | of the year, we're able to sex whenever we want to and |
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10:55 | Whenever we want to give a small window of MS menstruation. And through |
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10:59 | menstrual cycle, we're not gonna go all that stuff. But the point |
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11:02 | , is it, this may be way that we kind of tell the |
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11:07 | sex that we're old enough to be successful. All right. Now, |
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11:13 | , I'm not walking up to you saying, hey, smell my |
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11:17 | See, I'm, that's not the . But the, it's, it |
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11:20 | in the category of all the different that kind of demonstrate sexual maturity. |
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11:26 | the belief right now for this. it makes sense given where it's |
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11:32 | the other type of gland. the one that we most think about |
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11:35 | we think about sweat is the Merin the ri sweat gland. Who's |
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11:40 | You wanna know does commercials? he's a, he's a professor at |
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11:46 | University of Texas in the Thank Matthew mcconaughey. I can't believe he's |
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11:51 | professor, please. And I can't . It might be Menendez. Maybe |
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11:58 | JLO. I don't know, it's of them. I don't know. |
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12:04 | , she's an actress, right? pick people that you should be able |
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12:08 | recognize, but I'm old and I recognize young actors anymore. Actually, |
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12:12 | reason I picked him is so he's he grew up in Uvalde Texas. |
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12:16 | wife is from Uvalde. My brother-in-law him sound exactly alike. If I |
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12:21 | . It's the weirdest thing. It's a Uvalde accent. It is the |
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12:25 | you hear him. And it's anyway, so what do we have |
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12:29 | ? These are everywhere, especially on palms of your head, uh, |
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12:33 | of your hand soles of your Forehead. Think of all the places |
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12:36 | are sweaty all the time. All , these are there and they cover |
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12:41 | entire body. All right, what is the thing that they produced through |
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12:46 | glands is basically filtrate of the And that's pretty much true about any |
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12:50 | of watery thing that your body It's material that's taken from the |
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12:55 | Water is primarily other stuff. Sweat water plus a couple of other |
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13:00 | So it doesn't have all the proteins the fats, but it does have |
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13:03 | materials in it. Its function is simple, thermoregulation. Let's keep the |
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13:09 | temperature down in that range that makes functionally viable. So what happens |
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13:14 | is your body produces sweat, which water that sits on the surface. |
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13:19 | open up blood vessels that bring water the surface heat is transferred from |
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13:24 | the blood to the water on the . When those water molecules get to |
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13:28 | right temperature, right? They basically off your body and move away and |
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13:33 | the heat with it, how your cools itself. All right, in |
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13:37 | , it doesn't work so well because already have a lot of water in |
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13:41 | air. So it takes a lot effort for water to be wicked away |
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13:44 | your body. All right. I up in El Paso. It's dry |
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13:49 | . Sweat is wonderful because it cools down all the time. All |
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13:54 | The other things that you're going to here is that it excretes materials from |
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13:58 | body, things, your body doesn't when we typically think of it. |
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14:01 | um excretion, we think of, basically urination and we think of |
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14:07 | We also think maybe even in respiration you're expiring air. But this is |
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14:12 | way to get things off your particularly nitrogenous waste is one of the |
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14:18 | that leaches along with the water outward gets on the surface. So it |
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14:23 | a metabolic role as well. And , it plays a protective role. |
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14:28 | we've already talked about sebum being This is also protective, it has |
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14:33 | in there. Um There's uh different of immunoglobulins uh that you'll hear this |
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14:38 | over and over again. If you've heard of Iggigaigcigdig at the beginning is |
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14:45 | immunoglobulin. These are the proteins that responsible for protecting you from foreign |
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14:52 | All right, from foreign particles. your way that your immune system identifies |
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14:59 | . And one of the things that secreted out is igaig A is specifically |
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15:05 | on the surface of the body and binds up foreign things so that they're |
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15:08 | big to actually move in the body they can be recognized by immunocyte to |
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15:14 | it. One of the chemicals that releases is called dermoid and it even |
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15:19 | it, dermis skin side and kill an antibacterial. So, one of |
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15:24 | things that we do is we kill pathogens on the surface of our skin |
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15:29 | that they can't work their way All right. Now, the thing |
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15:34 | Marrin sweat glands is that they're uh, sympathetically regulated. And what |
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15:38 | means is is that they are gonna when you need to do a couple |
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15:43 | things. Basically, it's when you to cool yourself down. All |
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15:47 | So, um, there are things when you're exercising, so sympathetic deals |
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15:53 | the three es ex exercise energy or , it's um, excitation, you |
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16:00 | kind of emergency another one. excitation emergency. So, if you're |
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16:05 | to give a talk, right? you're nervous about it, you |
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16:09 | you start sweating, right? Why you sweating? Because that nervousness is |
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16:15 | being excited and it's an emergency situation you just want to escape. And |
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16:20 | part of that escape mechanism is I to cool the body down as I'm |
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16:24 | blood through my body. That would the, the example. All |
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16:28 | So this type of sweat just isn't for fun. It requires sympathetic activity |
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16:35 | do. So is what we're looking . So does he do that? |
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16:38 | this kind of make sense to understand difference between the oil on your |
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16:43 | the gross pit sweat and then the sweat, the irregular sweat. We're |
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16:50 | with that. OK. Ready to into the other tissue. No |
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16:57 | You're not, not ready. I'm gonna do it anyway. |
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17:01 | sometimes you just have to barrel All right. So really what today's |
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17:09 | is about is gonna be about I really wish I could figure out |
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17:14 | to bring that down for you guys that's really bad. Yeah. Um |
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17:22 | we're primarily going to be talking about , but I need you to understand |
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17:26 | when we're gonna be going through the system that the bones are just a |
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17:31 | of the skeletal system. We have things in there like cartilage, which |
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17:34 | don't spend a lot of, a of time talking about, we'll have |
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17:37 | like ligaments and there's other types of tissues that are associated with bones |
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17:43 | Cells to allow the skeletal system to it and to allow muscles, to |
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17:48 | the things they do along with the system. But really if we cover |
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17:54 | bones, we're kind of good That's, that's kind of the good |
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17:57 | approach here. All right. So are bones? Well, they are |
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18:01 | primary organs. They are an So when we look at the |
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18:05 | each bone is an individual organ, work independently of each other and then |
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18:09 | work collectively together to do particular All right, they provide a framework |
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18:17 | which your body is derived. All . In other words, you are |
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18:21 | , the way you're shaped and you the way you look because your bones |
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18:25 | that, that look. All And there's a functionality to that as |
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18:30 | . Now, if you look at bone, you'll find that some of |
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18:33 | bones have a cavity and that cavity a connective tissue, which we're going |
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18:37 | describe a little bit later called And this marrow can either be red |
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18:42 | yellow depending upon your age and depending where it's located. And that marrow |
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18:48 | an important role, not in supporting bone, but actually in creating |
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18:53 | All right. So the cells of blood come from marrow, which is |
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18:57 | weird. So it's a system when talk about the skeletal system that isn't |
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19:03 | about protection or providing framework, it allows for an environment to produce a |
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19:10 | different connective tissue. Um It is tissue is the name we talked about |
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19:17 | here. Oh, and there are types of bones. So when we're |
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19:20 | at a bone, I want you be keeping your eye open. For |
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19:24 | two different characteristics. We have one that is called compact bone. All |
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19:29 | . When we think about bone, is what we think of. It's |
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19:31 | it's dense. It, there's, no whole or anything like that. |
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19:35 | usually on the outside. It makes because of its density. It makes |
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19:40 | about 80% of the mass of a , right? So when you pick |
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19:43 | a bone and you look at you're probably looking at compact bone. |
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19:47 | if you break a bone open and on the inside, you're going to |
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19:50 | a different type of bone, It's called spongy bone. Other texts |
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19:55 | actually give you a word like cancel or Trabi, Trabi Trabi or Trabi |
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20:02 | to strands. So it looks more a sponge. Hence the term spongy |
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20:07 | . All right. And here it's , very porous and we'll see examples |
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20:11 | this in the moment and because of porousness, it actually doesn't have a |
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20:16 | of money, but it does have lot of strength. The so we're |
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20:24 | bone, the dense stuff. I see spongy bone whenever we look at |
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20:28 | bones. But it's their their arrangements kind of become important. So the |
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20:36 | thing we kind of need to do kind of need to know what's going |
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20:40 | , on the inside and on the of a boat. All right. |
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20:43 | what we have is we have a of connective tissue on either side. |
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20:49 | , we're gonna be focusing here on long bone. All right. But |
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20:54 | gonna use this to help us visualize on the outside All right. So |
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21:01 | the inside and on the outside of cells, we are of the |
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21:04 | we have a specialized connective tissue that made up of the cells of uh |
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21:11 | are that, that build bone as as the fibers that are uh connective |
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21:17 | that serve as a protective barrier. , on the outside, there's more |
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21:22 | and there's uh and so what we here is we see this, this |
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21:26 | covering that's found on the surface. so you can see here, this |
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21:29 | an example of a flat bone. so you can see this would be |
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21:33 | top on the outside, this is the bottom, on the outside. |
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21:36 | so you have this layer of tissue has these little tires and fibers that |
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21:42 | into the bone itself and then nearest bone is where we're going to find |
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21:47 | layer of cells. So this is dense, irregular connective tissue. All |
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21:53 | . And if you've ever eaten you ever eaten ribs. All |
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21:56 | And you get down to close to rib, you can actually grab this |
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22:00 | your teeth and you'll feel it peel sometimes and you don't want to eat |
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22:03 | and you just throw it aside right . If you're eating, you |
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22:07 | pork ribs, the meat just falls the bone. But if you're eating |
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22:11 | nice old beef rib, you oh yeah, you'll feel this stuff |
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22:15 | you'll get down there just pulling on . It's like connect you just |
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22:18 | oh, it's just a connective It is connective tissue but it's not |
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22:22 | the muscle, it's of the You can tear that meat away because |
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22:26 | one of the ways that it is . Now, the cells that we're |
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22:29 | see here that are closest to it the ones that are building the bone |
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22:33 | it. There's three different types of . We're going to see osteopro |
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22:37 | osteoblasts, and then we're going to some osteoclast as well. And we'll |
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22:41 | to what those cells are in just bit. The harder one to visualize |
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22:46 | there's not a good picture of it what is making up the endosteum. |
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22:50 | right. So this right here is medullary cavity of a long bone. |
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22:54 | , it's a hollow space inside the bone inside there. That's where you're |
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22:59 | see spongy bone. And on the of that spongy bone, you don't |
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23:03 | the same type of connective tissue What it is is mostly just a |
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23:07 | of cells wandering around building and breaking bone. All right. So you |
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23:13 | mostly the cells, you lack a tissue. Now here inside this uh |
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23:21 | bone, you will see the same of endosteum, but it's not as |
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23:25 | as you would if you have a giant cavity where you can look at |
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23:28 | surface. All right. So the here is if you can think about |
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23:32 | like this. If I have a that is hollow on the outside, |
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23:36 | have periosteum on the inside, I endosteum. All right on the outer |
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23:43 | is a connective tissue of fibers and inside between the hard bone and |
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23:49 | that layer of tissue are the layer cells. And then when I'm dealing |
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23:52 | the endosteum, it's just a bunch cells running around. OK? They're |
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23:56 | floating around, they're on the surface the bone. Ok? Now we're |
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24:01 | get in close and we're gonna hopefully at this and see it a little |
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24:04 | better. But I want to start because it, it puts this |
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24:09 | in uh in uh kind of working . The other thing I'd point out |
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24:13 | you can see in this little you can see there are blood |
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24:16 | All right. I wanna remind you are organs. So that means they |
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24:20 | consisting of living tissue. All they're very much alive, even though |
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24:24 | think a bone is not being it's very much alive. So you |
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24:27 | to provide nutrients. So what the does, it allows you to bring |
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24:32 | structures close and hold them into place allows the blood vessels to penetrate the |
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24:37 | to penetrate. Now, we start the long bone because it's the most |
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24:44 | bone and then everything else kind of from that. All right. And |
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24:48 | I want you to do here is first that we're looking at external |
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24:54 | right? So, if we're pulling bone in our hands, we're |
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24:57 | we're naming what we see on the , the long portion here. All |
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25:03 | , is called the shaft or the . All right. The diaphysis, |
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25:09 | you cut it open has a very hollow space, that's that medullary |
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25:14 | Remember what we said when you see word mela, it means middle. |
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25:18 | medullary cavity means in the middle, giant gaping space. All right. |
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25:22 | the medullary cavity is typically filled with when you're a child, that marrow |
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25:27 | gonna be red marrow. And when become an adult, that red marrow |
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25:30 | replaced and is replaced by yellow which is predominantly fat, which should |
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25:36 | you feel real good about yourself, is another place to put fat in |
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25:39 | body. Yeah. All right. we move to the ends, the |
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25:47 | of the bone is called the All right. So epi means on |
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25:52 | the end or above. So the sits um on the opposite ends of |
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25:59 | diathesis. All right. Now, you look here in the cartoon, |
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26:02 | you cut it open, what do see? You don't see a big |
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26:06 | medullary cavity. Instead, it's filled spongy bone. So what we have |
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26:10 | on the outside, whether you're looking the diaphysis or the epithets, the |
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26:14 | is always always, always this compact and then as you move inward, |
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26:18 | replaced with this Trabi bone or spongy . But when you look at |
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26:24 | you have a big hollow space. you look at epithets, you have |
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26:28 | but spongy bone. All right. then we have a really weird region |
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26:33 | is not shown in the picture, it really is found right around |
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26:38 | OK. So if you look through cut, you can see I have |
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26:42 | region of compact bone, then it spongy bone and then it's this strange |
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26:48 | of bone that is a type of bone before I get to the spongy |
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26:53 | again. And so it's the region this, that's uh called the |
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27:00 | Now, this region contains this little piece of compact bone is called the |
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27:06 | growth plate. All right. And you can see the name is referring |
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27:09 | the epithets. This is what allows to grow in the vertical direction. |
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27:16 | when you were little, think about tiny you were right? And then |
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27:19 | grow and your limbs grow and your grow. Well, I should say |
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27:23 | legs and your limbs are the same , your arm and your legs |
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27:26 | And what you're doing is you're adding length a uh in this direction. |
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27:31 | the reason you're able to do that because that region of the epithet or |
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27:36 | , the epis growth plate is not , it's cartilage. And what you're |
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27:40 | is you're laying down cartilage and pushing epithets away from the diaphysis and the |
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27:46 | is growing to try to catch up the epithets and that's why you get |
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27:51 | and tall. We'll get to that more detail at the end of the |
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27:55 | . In theory, I may end talking for seven minutes about a |
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27:58 | That's totally unnecessary. Right? I do. Come on. All |
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28:07 | So when you look at all the bones, right? So if the |
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28:10 | bone is the one with the hollow , all the other bones in your |
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28:13 | don't have hollow cavities. Instead, still have the compact bone on either |
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28:18 | and on the inside, we have spongy bone and we give it a |
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28:21 | name because why not give you one thing to memorize, right? It's |
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28:25 | diplo. All right. So when see the spongy bone inside uh a |
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28:31 | that's not a long bone. We to it as diplo and again, |
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28:36 | space is going to be filled with . I should have backed out this |
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28:40 | in here. This spongy bone is to be filled with marrow. All |
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28:45 | . It's the cavity in the lung that is also filled with marrow. |
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28:50 | right. No ma cavity. That's key thing to take away from |
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29:00 | Now, there are different types of in your body. Again, what |
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29:03 | like to do as scientists, we to take things we like to see |
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29:06 | matches the other things. We like throw things into the boxes and label |
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29:09 | and say this is what it All right. And so what we're |
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29:13 | is we're of doing this in terms shape. We're gonna look at |
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29:16 | we look at bones and we say type of shape is this. And |
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29:19 | we really kind of break it down three types and then what ends up |
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29:23 | is is that we keep creating these that can be crossed over between different |
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29:28 | of them. So the first one just want to just kind of mention |
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29:31 | is the flat bone, which is we saw in this kind of picture |
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29:34 | here. The flat bones characteristically are be flat. All right. So |
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29:41 | that means is, is they have very, very thin um appearance, |
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29:46 | ? They have compact bone, they some spongy bone and compact bone and |
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29:50 | elongate in one way or another. not long wi like we saw in |
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29:55 | long bone, they just are flat , all right. Now, here's |
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30:00 | weird one. So some of these gonna make sense. They're well, |
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30:03 | terms of their functionality, they lie some sort of soft tissue and and |
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30:11 | there to prevent things from getting to soft tissue? So the easy ones |
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30:16 | can think about are like the cranial of the skull. I mean, |
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30:19 | your helmet Right. So that's Long and flat. We got a |
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30:22 | of those. Right. You might of your sternum. All right. |
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30:26 | protects my heart. So this is flat bone. It just sits right |
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30:29 | the middle of my chest. One we have a hard time thinking |
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30:34 | look at a rib. It looks it's long and it's true. It |
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30:37 | long. But if you put it its side, you'll see that it |
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30:41 | flat curved surface like the other bones it doesn't have the cavity, which |
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30:46 | characteristic of the long bones. So we hold it and look at |
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30:50 | what does it have to fall It falls into the long bone |
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30:54 | right? We'll see in a That's the shoulder blade. All |
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31:02 | Now, I'm pointing this out now it's just a weird thing and you'll |
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31:08 | them, but we never really talk them beyond one bone, which is |
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31:11 | patella, which is the bone that your knee. That's your knee |
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31:15 | Yes, sir. Correct. The bones do not have medullary cavity. |
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31:22 | only bone that has med cavity is long bone. All right, everyone |
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31:29 | are all boring except for their I think that word comes from |
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31:38 | which is sesame seed. It's I'm glad no one said sesame. |
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31:45 | possible. You never know. All . If you think about a sesame |
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31:48 | , sesame seed has a particular If you ever ordered a big |
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31:51 | You seen a sesame seed? All . Little tiny, like oblong shape |
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31:56 | they're all over your body. they're these small, little flat, |
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32:01 | , they're tiny. They don't, so small. They don't earn |
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32:04 | All right. There's one exception, is the patella, which is technically |
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32:08 | seso bone. But sometimes we throw in a different category or, or |
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32:14 | in a different category which we're gonna here in just a minute. All |
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32:17 | , we're gonna call this a, short bow. But when you see |
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32:21 | , I'll point them out when we're at like, let's look, there's |
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32:24 | button and it has no name. right. But they exist and there's |
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32:28 | of them. The other three the ones that are important are, |
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32:33 | we've mentioned are the long bones. then we have the two others which |
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32:35 | gonna be the short and the All right, a long bone, |
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32:40 | are longer than they are wide. have the medullary cavity. Typically, |
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32:44 | you're gonna see is they will have shaft, the Diapy, those two |
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32:49 | , they are the shape when you of a bone. This is probably |
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32:52 | you think about and you're gonna find primarily in the upper and lower |
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32:57 | All right. And when I say this is so this is a long |
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33:01 | , the only on the radius, bone, long bones that make up |
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33:05 | heart. They make your fingers, make up your toes. I'm |
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33:14 | not the axis, the appendicular the legs and the arms. Almost |
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33:19 | in there is a long bone. exceptions. We point out the |
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33:24 | Get there. All right, short , they are roughly the same length |
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33:30 | they are in width. So they of have a square I appearance notice |
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33:35 | , they're not exactly squared. The I have up here is gonna be |
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33:41 | patella. We have the carpal bones the tarsal bones. Those are the |
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33:45 | that make up your wrists and they up your ankles. All right. |
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33:50 | you'll see when we look at Yeah, they're kind of cuish. |
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33:53 | look kind of like dice. All . They're not exactly, but they're |
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33:57 | of like, all right now, I have seso bodes here. What |
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34:02 | seso bones? They are these weird . So some people categorize them as |
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34:06 | bones. And then the last group like, OK, I pick up |
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34:10 | bone. I look at it. not a long bone, it's not |
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34:12 | short bone. It certainly isn't I don't know what to do with |
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34:16 | . We'll throw it in the other . That's the irregular bones. All |
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34:19 | . So your vertebrate are irregular the bones, uh there are several |
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34:24 | of the face that are uh these of bones, the bones that make |
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34:29 | your hips, the Os Coxa, three bones that fuse during development become |
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34:34 | bones and then those two bones connect each other and those are your hip |
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34:39 | . That's the osa. They are regular bones. They don't have a |
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34:44 | that makes sense with the other three . All right. So if the |
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34:50 | doesn't make sense, throw it in irregular box. Now, it's really |
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35:01 | if you take anatomy classes from, , people who are classically trained in |
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|
35:08 | , they want to spend eight days about all these things, right. |
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35:13 | , they spend more time on the and the muscles than they, than |
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35:16 | necessary. If you're planning on going a career of health care, the |
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35:20 | who deal with bones and muscles as therapists, right? And they really |
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35:26 | of deal mostly with movement. So less about the bones and the |
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|
35:29 | more about, are you capable of the movement that's necessary? Right. |
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35:34 | , it's, it's, it's kind a shift nurses. They don't need |
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35:38 | lot of knowledge about bones. I , need to know what they are |
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35:42 | what they do and what their purpose . But do you need to know |
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35:46 | marking? Every thank you. That's answer I'm coming up with too. |
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35:50 | , when I think about when so yesterday I went to the doctor's |
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35:53 | , I got, had to go blood the, the, uh, |
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35:57 | , you know, comes up to , starts slapping my wrist. What |
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36:01 | you do? Well, I'm a . What do you teach? |
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36:03 | I teach biology. I teach anatomy physiology and she says, oh, |
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36:06 | great. And then we started talking stuff but she didn't know anything about |
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36:10 | . All she has to do is where the vein is. Stick |
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36:14 | pull my blood, send me on way. Didn't even give me a |
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36:17 | band aid. I was really upset that. I asked. Right. |
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36:27 | what you'll find when you move from class is that you will find people |
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36:32 | are going to want you to spend lot of time learning this and there |
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36:35 | a nomenclature and a language that goes understanding bones. And so what I |
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36:41 | to do is I want to introduce to one of the ways that we |
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36:45 | . I or how we identify bones , and really kind of their functions |
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36:49 | their purposes. All right. So are what are called the bone |
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|
36:54 | So if you pick up a bone the lab, how are you guys |
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36:56 | the A and P lab right All right. You guys doing bones |
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37:00 | ? Yeah. Are you guys touching feeling these things? Yeah. And |
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37:04 | part of this is to understand, just which bone I'm looking at, |
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|
37:08 | what is its job? All So one of the types of bone |
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37:12 | you'll come across is what is called depression. And there are different types |
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|
37:16 | depressions. And you can see the names over here, we have facets |
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|
37:19 | fossas and phobia and grooves. And purpose is really to do one of |
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37:24 | things. Basically, it makes sure the two, when they meet each |
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|
37:28 | , there is something that allows them articulate together to either hold them together |
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37:33 | to create movement between the two All right. Or another thing is |
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37:38 | what it will do is it provides point that would be a good example |
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|
37:42 | a groove, a point where a or a nerve travels along the surface |
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|
37:46 | a structure. So it creates a special pathway for these structures. |
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37:52 | when you're looking at these bones and see a depression, the question, |
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|
37:55 | should be asking, what is this for? All right, why did |
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37:59 | give it this particular name? we do this for a whole bunch |
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38:03 | different things, openings. These are holes in the bones. So |
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38:08 | if you see this word meat. right, that's how it's pronounced. |
|
|
38:13 | when we talk about the ear, going to learn about the ear |
|
|
38:17 | That is the auditory me. All . Um You have fissures, which |
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|
38:22 | gonna see uh when we look at , the brains or the, |
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|
38:27 | the cranium itself or you'll see for is plural is gonna be for, |
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|
38:33 | which just seems really weird because uh a seems like baby for a but |
|
|
38:38 | not so like at the base of skull is the Framan Magnus, the |
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|
38:43 | giant gaping hole through which your spinal travels down. All right. And |
|
|
38:48 | do you think? Frame? And means if Freeman means hole, what |
|
|
38:52 | you think? Frame? And Magnus the big hole? So all of |
|
|
38:57 | sudden now it's like, what do mean? They're, they're not this |
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39:01 | . No. If somebody look at , oh that's the big hole, |
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39:04 | the big hole and from there move your, you know, right or |
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|
39:08 | . Yeah. No, you don't . These are just examples, |
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39:13 | The idea here is what is its ? Why are there openings? We |
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|
39:17 | saw depressions? Why are there Right? Why do they exist? |
|
|
39:23 | ? Part of the reason? All . So to answer your question, |
|
|
39:25 | real question you're asking is, so something I have to memorize here in |
|
|
39:29 | of the pictures in terms of the . And the answer is no. |
|
|
39:33 | ? Because I'm not handing you a and saying, identify this depression. |
|
|
39:38 | don't go over the bones like In this class. There's 100 of |
|
|
39:42 | . We can't pass bones around and everyone touch them. This is why |
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|
39:45 | have labs. All right. So what we're doing is we're learning the |
|
|
39:49 | and its purpose. All right, purpose of the structure. All |
|
|
39:54 | So things allow things to pass from side of the bone to the |
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|
39:58 | All right. Think about your Right, right here. That's the |
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|
40:04 | fissure. Your eye is connected to brain via the optic nerve. If |
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|
40:10 | was no fissure, no optic nerve be going to your brain if that |
|
|
40:15 | sense. All right. So blood vessels nerves travel through bones as |
|
|
40:21 | . Then we have projections. there's a whole bunch of different |
|
|
40:24 | You'll hear con dials, you cress heads, tubercles tubes at this |
|
|
40:29 | . I think they're just making up to make it confusing. I don't |
|
|
40:32 | the word tubercle. I will use . I don't know. Again, |
|
|
40:37 | are just historical epic Conal. How that different than a Conal? It |
|
|
40:42 | above a con dial. So it will make sense if you |
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|
40:46 | if this is a con the thing above it that protrudes outward would be |
|
|
40:51 | all right. And again, what these? These are points where muscles |
|
|
40:55 | a tendon or a ligament is gonna to the bone? So it sits |
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|
40:59 | away from the bone for that particular . There's others. So like the |
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|
41:08 | or the, the can, there's clever one, the protuberances, you |
|
|
41:14 | why your head doesn't fall forward because have the protuberances. You can actually |
|
|
41:19 | it on the back of your It sits right there, feel that |
|
|
41:23 | right there and there is a muscle attached to that. That's what allows |
|
|
41:27 | to do this plus all the bones the neck that allow you to rotate |
|
|
41:33 | that axis. All right spines When you see these words, what |
|
|
41:39 | we doing? There's something attached, what we just need to understand. |
|
|
41:50 | the takeaway from this is understand the of a depression, understand the function |
|
|
41:56 | a process, understand the function of opening. All right, it's there |
|
|
42:03 | a reason and then when you look a bone, it's like, oh |
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|
42:07 | pointing out this structure here for a , right? So if, if |
|
|
42:14 | studying the humerus and you see the tuberosity, you guys know what a |
|
|
42:20 | toit is the shoulder muscle, So what is the purpose of the |
|
|
42:25 | tuberosity? What do you think to the deltoid muscle? And then what |
|
|
42:31 | I do? I could do the dance because of it doesn't have to |
|
|
42:38 | the chicken dance. All right. here's marrow, what we've done. |
|
|
42:43 | do you think this structure is right ? It is, it's a, |
|
|
42:48 | this is a slice through the diaphysis through the metaphysis so that you can |
|
|
42:54 | into an ESIs, right? So is looking inward to the epithets. |
|
|
42:59 | you can see out here, here's compact bone and then all in |
|
|
43:03 | there's your spongy bone. All And what we're looking at is this |
|
|
43:09 | inside the spongy bone. So remember I said, the spongy bone contains |
|
|
43:13 | it marrow. It's found within this of trabecule. There are two different |
|
|
43:20 | we have red marrow. Red marrow called word to try to spell. |
|
|
43:27 | that should be the test. Learn to spell Amata. Poetic. |
|
|
43:31 | it's Yeah. When you get to iepoeiy, yeah. Nightmarish. |
|
|
43:39 | So poetic literally means a tissue that responsible for producing blood cells. |
|
|
43:46 | So poetic referring to it making cell poetic would be making red blood in |
|
|
43:58 | blood cells, blood cells. All . So when you're looking at red |
|
|
44:05 | , that's what it does in we're gonna find it in the bones |
|
|
44:09 | our, in the. We'll also it in our flat bones. So |
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|
44:16 | you are owner as an adult, got to go to some pretty horrific |
|
|
44:21 | to try to find an arrow no the tops of these bones which are |
|
|
44:29 | easy to get to. Not a of fun. All right. So |
|
|
44:33 | is why a dope is a big . You should just like applaud them |
|
|
44:37 | you're like a dough because you first to go digging with a big giant |
|
|
44:42 | and then you go drilling. It's like for oil right now. |
|
|
44:48 | Children are different. They have red basically everywhere, right? So they |
|
|
44:54 | only have it up here. They have it in their medullary cavity. |
|
|
44:58 | the reason for that is they're producing and tons of red blood cells to |
|
|
45:03 | and allow them to grow and to off all the horrible things that life |
|
|
45:07 | throwing at them. All right. what happens is is as you age |
|
|
45:13 | red marrow will become replaced by the marrow. So you can kind of |
|
|
45:17 | this again. This is the right? And you can see in |
|
|
45:20 | there's kind of this yellowish fatty looking , but it's still surrounded by red |
|
|
45:25 | . And so here what's happened is that the body is taking the red |
|
|
45:29 | and saying, well, we don't as much red blood cell production as |
|
|
45:33 | normally when we did as a So we're gonna ramp down and lose |
|
|
45:38 | of those stem cells that are sitting producing space gets filled up by a |
|
|
45:45 | competition, the output. Now in event that in dire need of red |
|
|
45:52 | cells, what will happen is is there will be a signal that causes |
|
|
45:56 | stem cells to start replicating themselves so you have a bigger pool of stem |
|
|
46:00 | so that you can make more red cells. But that's like emergency. |
|
|
46:04 | when like we got to do All right. So when you become |
|
|
46:10 | , very, very anemic anemic just you're not producing red blood cells. |
|
|
46:16 | right now, most of y'all have yellow marrow than you did four years |
|
|
46:22 | . All right, for me, mostly fat. So that doesn't surprise |
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46:29 | . So far does this stuff make ? It's pretty straightforward, pretty |
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46:32 | Right. I hope. All Ok. Good. It, |
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46:35 | I don't want it to feel like is like nightmarishly hard because sometimes what |
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46:39 | do is we like to put up barriers and say, oh, this |
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46:41 | too hard for me to learn. right. Like calculus. It's too |
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46:45 | for me to learn. So we want to do it. What we're |
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46:49 | now is we want to shift. we say, OK, well, |
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46:51 | this is a tissue and each of bones are an organ, there must |
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46:55 | cells that make up this tissue and this organ to be an organ. |
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47:01 | so that's kind of where we're Next is we're looking at the four |
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47:04 | bone cell types. All right. this little graph here shows you the |
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47:09 | cells we have osteoclasts. All The general thing that you can walk |
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47:14 | with this is that these, their of osteoclast is to break down. |
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47:19 | right, the other group. So other three are related to each |
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47:25 | We have a stem cell that is an osteogenic cell. It produces or |
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47:30 | not produces, it divides and differentiates an osteoblast. The osteoblasts job is |
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47:37 | make bone tissue. And then once uh cell matures, it becomes an |
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47:44 | . Its job is to maintain the . So we have three or, |
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47:49 | really four jobs here, I'm I'm stem cell that differentiates becomes the |
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47:56 | which then ultimately becomes the maintainer. you go through this progression of maturation |
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48:02 | then the ostin class is unrelated to first three or the or the second |
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48:06 | , they stand aside on their And so this kind of is more |
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48:11 | AAA more descriptive of these just looking the osteogenic cells. So what we're |
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48:17 | at here is we're looking at the of bone tissue. All right. |
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48:24 | this is really in the meine back bone is even formed. And what |
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48:29 | can see is they're starting to become organization. So cells are going to |
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48:34 | and become these osteogenic cells. So you hear the word osteogenic, that |
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48:39 | they are stuck down the bone that's the direction they have to |
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48:43 | And they're, they're found within the tissue that they are making. And |
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48:48 | ends up happening is they differentiate, leave behind cells that then differentiate into |
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48:57 | . So the osteogenic cells are in connective tissue, they're being pushed away |
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49:01 | the tissue that they're going to be . And so underneath, when they |
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49:05 | , they leave behind become the And we remember what we said whenever |
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49:09 | see blasts at the end of the name, it means it's not its |
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49:13 | phase. I guess you can say , you go through different stages, |
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49:18 | or somewhere in the middle. All . So the osteogenic cells are dividing |
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49:24 | they're moving away from the tissue. right. But they can't move far |
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49:29 | they're stuck in other connective tissue. down the connect the, laying down |
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49:35 | bone is the osteoblasts and they're not bone down in one direction, they're |
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49:42 | laying down matrix in all directions. so while they're doing that, you |
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49:47 | imagine if you're painting in a room you can paint in all directions, |
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49:51 | you're doing is you're painting yourself into circle, right? And now you |
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49:55 | stuck with all the paint around stuck the matrix that you built. And |
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50:02 | what you see here. This cell been stuck. I'm still making |
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50:08 | The osteoblasts are building matrix and building around and that some of them get |
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50:13 | . And now I have my mature . It differentiates and becomes an |
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50:18 | This is very much a living And you can see that this cell |
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50:23 | inside the bone. It built, actually has extensions and those extensions that |
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50:28 | artist didn't show goes out and touches osteo cells. So the other sites |
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50:35 | well as osteoblasts, you can see there are little canals within that |
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50:40 | So there that flows around the cell provides the nutrients and the materials. |
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50:46 | then those cells are actually detecting the integrity of that matrix to determine whether |
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50:51 | not it's strong enough to do the it's supposed to do. So when |
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50:57 | talk about maintaining the matrix. We're those cells to judge and determine whether |
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51:03 | not your bones are strong enough to the activity that you regularly do. |
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51:10 | kind of kind of cool. So you sit around on the sofa all |
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51:14 | and just watch tiktok, how strong bones gonna be? You're not gonna |
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51:19 | very strong. Why? Because your not gonna waste energy to keep a |
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51:23 | matrix. But your mom takes your away from you, throws it against |
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51:27 | wall, says get out of the and now you have to walk to |
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51:31 | friend's house to go watch tiktok. what's gonna happen to your bones? |
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51:35 | gonna get stronger as a function of stresses that you're putting on your |
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51:42 | Exercise is good for us because it our bones to strengthen themselves dependent upon |
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51:49 | type of activity we do. That's of cool. Our bones shape themselves |
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51:55 | do the activities. We do a aside. One of my younger |
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52:02 | uh, was at school one I think I already told you |
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52:04 | Um, and they were running around gym because reasons and someone did that |
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52:11 | thing. You know, when you the other person's foot out from underneath |
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52:14 | , you know, tripped him and put it out on his arm to |
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52:17 | himself, landed on it, broke his own, on the rap. |
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52:20 | was awful. I went to go him up. They said your son |
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52:22 | his arm and I said, come over, his arm was a |
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52:25 | , right? Because the bones had both broke, one actually penetrated through |
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52:29 | skin, you know, it was , and surprisingly, he wasn't |
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52:33 | he was that much in shock. was just like, you know, |
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52:36 | we took him in to do you know, to the hospital and |
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52:39 | reset the bones and if they can within, I think it's 15 degrees |
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52:44 | the normal shape, then they'll send on your way with the cast. |
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52:48 | if they can't, then they have go in and pin it and stuff |
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52:51 | they are able to set it so it was within 15 degrees. So |
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52:55 | arm looked like I can't walk this . That was kind of how it |
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53:00 | when he, when, when they it, right. But it |
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53:03 | it was in this direction right now came off and that's what his arm |
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53:09 | like because it was set like Right? And then he started doing |
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53:13 | normal activity. What does his arm like now? Normal? Right. |
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53:19 | the bone reshapes itself to do the that needs to be done. It's |
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53:24 | of the osteoblast and the osteocyte and osteoclast that allow that to happen. |
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53:31 | . What do osteoclast do? osteoclast break down bone. It is |
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53:37 | , really cool. I think I'm have this on the next slide. |
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53:39 | in essence, what it does is your bone is there, it's a |
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53:44 | that not only plays a role in , it also plays a, as |
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53:49 | as a, as a reservoir for and phosphate. And so when your |
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53:53 | needs calcium and phosphate, it can that from the bone kind of a |
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53:58 | resort. But what happens is as using your bones and as you're exercising |
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54:02 | you're moving around and stuff like the body detects the stresses those osteocyte |
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54:07 | it tells the osteoclast what it can down and what it needs to leave |
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54:12 | . And so your body is constantly and, and breaking down bone over |
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54:18 | course of your lifespan. And in , it's incredibly active. Now, |
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54:23 | you see here is you can see little cartoon is trying to show you |
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54:26 | like, oh here's an osteoclast and digging a hole in the bone and |
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54:30 | is on the surface and this is typical. But you'll also see this |
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54:34 | you're talking about sponges, sponge So here you can see spongy |
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54:38 | right? And I love this picture it's, if you know Pacman, |
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54:42 | we have inky, pinky and uh Blinky and pinky. No, no |
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54:47 | knows Pa Pacman. There's no I don't know why Clyde's not up |
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54:52 | , but apparently they're being chased by Pac Man. Anyway. So you |
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54:55 | see here what, what, what we done, we have broken down |
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54:59 | bone. So this would be here's normal bone, we're detecting this |
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55:03 | is not a useful bone. So happens is the osteoclast comes along and |
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55:09 | the bone. All right. So destroys bone releases calcium releases phosphate, |
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55:15 | maybe it overdid it. So what's now? Or maybe this, we're |
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55:19 | that this is an area where there's high degree of stress. So osteoblasts |
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55:22 | rolling in and they rebuild or reform bone and that matrix. So here |
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55:29 | we're doing is releasing calcium and remodeling bone based on stress needs. And |
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55:35 | again, we're remodeling based building bone on those stress needs. And then |
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55:40 | body just does this all the time give you a sense. You basically |
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55:45 | 5 to 7% of your bone mass week. That means over 20 |
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55:50 | years. How long? 52 So, unless and twice you do |
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55:56 | twice a year, you basically remodel whole body in terms of bone |
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56:00 | you don't rebuild your entire skeleton. . But the idea is like, |
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56:05 | there this is not dead tissue. is very much a live tissue remodeling |
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56:09 | , dealing with the stresses and the of your musculoskeletal system. So that |
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56:15 | creates the strongest you that you need be. All right now, compact |
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56:25 | is replaced much, much slower than bone. Why do you suppose that |
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56:30 | exactly, it's a density. It's what we're saying, it's thicker, |
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56:34 | harder, so it's much harder to . So this matrix, what are |
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56:40 | looking at? All right. What this weird looking thing that we're |
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56:47 | Well, if you start down here the end, we're, this is |
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56:51 | of going in the direction of how get to that bone itself. And |
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56:57 | you look at bone, we'd say consists of both an organic and an |
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57:02 | component. Now, the inorganic is simple. It's calcium and phosphate come |
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57:08 | . These are crystals that are then on the organic components of the |
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57:14 | And these are what are formed with other elements are called hydroxy appetite |
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57:19 | So the reason bone is hard is it has its calcium phosphate in it |
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57:28 | makes up the majority two thirds roughly the matrix. But if you look |
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57:33 | the matrix itself, we have this that's called osteoid asteroid is the collagen |
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57:38 | the arrangement of that collagen. And we're gonna find within that asteroid. |
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57:43 | gonna see cells, the cells are to create the osteoid. The asteroid |
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57:49 | these collagen fibers. So here we a collagen fiber at the molecular |
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57:53 | we take three of them wrapping we get this strong helix, you |
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57:58 | a bunch of these helices, you them together and you've got something that's |
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58:01 | stronger. And then you throw crystals it that gives it its hard and |
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58:05 | you wrap those in the bundles and you've got this massive stiff collagen fiber |
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58:10 | been os ossified and then you take and then you arrange them in particular |
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58:17 | . And now you have the structures which bone is actually built. And |
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58:23 | we're gonna be creating is a structure called an osteon. The osteon is |
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58:29 | thousands upon thousands of these fibros which derived from these long lengthy collagen |
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58:39 | Do you ever go watch the The side? OK. I know |
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58:43 | reason I mentioned the blind side is of at the beginning of the blind |
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58:47 | , they show a game of the and the giants. All right, |
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58:53 | Lawrence Taylor and Joe Theismann, whose name is Joe Theisman, but they |
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58:59 | marketing campaign when he was in they changed it to Theismann to sound |
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59:05 | Heisman, right? So yes, all right. I was, you |
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59:12 | interrupt the story. So the idea , is that uh this is a |
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59:20 | and twisting strength. This is why see the story, why it becomes |
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59:23 | here in just a moment, whereas actually gives it rigidity. So think |
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59:27 | this right here. My nose Why is it bone? What is |
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59:36 | ? It's cartilage, right? This , I can stretch it and bend |
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59:40 | stuff. So there's strength to but there's flexibility. All right. |
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59:45 | when you put in the, the , what it's gonna do is, |
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59:48 | gonna be inflexible back to the So the story of, of the |
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59:57 | side, the reason they show this the beginning of the movie is because |
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60:00 | want to show you the importance of defensive tackle or an offensive tackle on |
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60:03 | blind side. So Lawrence Taylor was phenomenal linebacker. He ate quarterbacks for |
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60:10 | . He was big, sweet but he's big and mean on the |
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60:14 | field. And so he came on blind side, Joe Theismann was rolling |
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60:18 | on a play, a play action . Lawrence Taylor is faster, |
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60:24 | caught up to him, grabbed him the legs and did what a good |
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60:28 | was supposed to do to the ground make him the Theisman fall to the |
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60:35 | and hit the ground, right. you just try to tackle him, |
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60:38 | can step out of ST Lawrence Taylor what he's supposed to do and immediately |
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60:43 | he tackled him, Lawrence Taylor jumps , looking at the sidelines, starts |
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60:47 | . Get here, get here, here real quick. He knew what |
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60:50 | happened. He had heard it he had taken that bone in the |
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60:54 | portion of the leg and had twisted by a, he basically, he |
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60:59 | planted the foot and when he he had taken and to, |
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61:03 | create a torsion to cause the bone splinter in this direction. That was |
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61:09 | end of Joe Theismann's career right Again, it wasn't Lawrence Taylor's |
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61:14 | It was just bad luck. He exactly what a linebacker was supposed to |
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61:18 | , but it took a man of strength to be able to do |
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61:23 | Bone does not twist. It It's not supposed to twist and it's |
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61:27 | twist because of this arrangement. All , there are lots of things in |
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61:32 | body that can twist, cartilage twists fine has flexibility. Bone does not |
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61:36 | flexibility. All right, it's there be strong to hold things and |
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61:43 | it's arrangement is what gives it its and its ability to resist torsion. |
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61:51 | let's take a look and see what is. Now. If you haven't |
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61:58 | the blind side, it's a great story. It's actually not, it's |
|
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62:01 | untrue I think. But about Michael um what we have here is a |
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62:08 | through the diaphysis. So you can up here, here's my bone, |
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|
62:12 | ? You can see there's the medullary . This is a compact bone over |
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|
62:18 | on the edge, right on the of that medullary cavity. That would |
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62:21 | where we find the spongy bone. out here, what have I peeled |
|
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62:25 | ? What's that called? Do you periosteum? So line here, that |
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62:29 | be where the endosteum would be OK. So your frame of reference |
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62:34 | important here because you're gonna see something looks repetitive over and over again. |
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62:40 | we're gonna be looking at is this here this osteon. All right. |
|
|
62:45 | so that's what's been cut out. you can kind of see this has |
|
|
62:48 | hollow center, doesn't it just like have this hollow space, this medullary |
|
|
62:53 | ? So there's this hollow space inside osteon. And if you look at |
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62:57 | osteon up here, the cartoon, if you look carefully, you'll see |
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|
63:00 | black dots create these boundaries between So it's basically a series of rings |
|
|
63:06 | a bunch of bull's eyes. Those represent the osteoid laid down by the |
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|
63:14 | as they were building this uh ring . OK. The little black dots |
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63:21 | here represent the osteocyte trapped in this . So when we look at a |
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63:30 | bone, what we're looking at really a whole bunch of these jammed up |
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63:34 | each other. So you can see are all osteon, right? And |
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|
63:40 | we have all these pillars that are and strong, they're basically bunched up |
|
|
63:43 | . It's like getting a bunch of and wrapping them with hundreds and hundreds |
|
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63:47 | band aids and then taking those and trying to break them, right? |
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63:52 | why we have strength and why when try to grip those, those pencils |
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63:57 | we could actually grab onto them how force we'd have to use to and |
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64:00 | break them this torsion. Now, other thing I'd point out here is |
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64:05 | at the direction of the line. what we've done in this little picture |
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64:09 | is we've pulled one osteon out. . So we've kind of pulled out |
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|
64:13 | see the different layers. And you see in one layer that the lines |
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64:18 | this way and then the other the lines go that way and then |
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64:21 | way and then that way and what have here is a weaving pattern. |
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64:26 | in essence, what we've done, have fibers that resist twisting in one |
|
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64:31 | , fibers that resist twisting in the direction and you build them over and |
|
|
64:35 | again. And so now we we this mesh work that doesn't want to |
|
|
64:38 | at all and then again, wrap with other ones. And now you |
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64:42 | something that's really tough. This is bone is tough. All right. |
|
|
64:46 | they resist to torsional stress, they compression stress, right? Just tough |
|
|
64:55 | . Now, these osteon are gonna the length of the diaphysis. All |
|
|
64:59 | . This is why the compact bone is so dense. Now, |
|
|
65:07 | when you look inside an osteon, is what we would refer to as |
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|
65:11 | the functional unit of a bone. right. So whenever you hear |
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65:14 | it's like if I broke it broke it down, what makes a |
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65:17 | strong? It would be the So what makes up the osteon? |
|
|
65:22 | oops, that's that functional unit. so what we said is remember we |
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|
65:25 | this kind of space and then we ring ring and then you got these |
|
|
65:29 | of rings that hollow space is called central canal. And inside the central |
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|
65:34 | , you have blood vessels, you'll a vein and you'll have an artery |
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|
65:37 | we're not gonna cover a P one carry blood to tissues. Blood, |
|
|
65:41 | veins carry blood away from tissues. . The better definition is arteries carry |
|
|
65:47 | from the heart. Veins carry blood the heart. But for your |
|
|
65:51 | artery to the tissue vein, away the tissue is fine. You'll also |
|
|
65:56 | in their nerve fibers that are located that central canal. So you can |
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|
66:02 | pain. You can, you can signals to the nervous system about things |
|
|
66:07 | are going on inside the bone. see each ring of fiber, those |
|
|
66:14 | called the concentric Lamela. All So concentric meaning they're just rings that |
|
|
66:21 | repetitive. They have the same ring that central canal. So this is |
|
|
66:25 | is actually and I mentioned already the is going in opposite directions. So |
|
|
66:29 | is what gives the strength and the to the bone itself. And |
|
|
66:33 | as we mentioned already, we have osteocyte that are trapped between the |
|
|
66:39 | They're the ones that were the osteoblasts laid down the Lamela and then got |
|
|
66:43 | in it. And so they're there uh maintaining the matrix, making sure |
|
|
66:49 | matrix is doing what it's supposed to doing in our little cartoon. You |
|
|
66:53 | see that they have these extensions, the space and with within which, |
|
|
66:58 | within that um osteo um state lids called a Lacuna. When you hear |
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|
67:04 | word, what does it sound like you? Sounds like not, I |
|
|
67:11 | about to go there. But if had to translate that into English without |
|
|
67:14 | your Latin, what do you think sounds like lagoon or like, I |
|
|
67:22 | , either of those people Lacuna maybe lake. All right. So basically |
|
|
67:29 | a space surround filled with fluid where is. And you can see. |
|
|
67:34 | these are electron micrograph showing you And so you can see how it's |
|
|
67:39 | hollowed space. And so that's where find the cells living and there's little |
|
|
67:46 | canals in between each of the different . So you can kind of see |
|
|
67:50 | in this one. They're, they're shown here uh through which these little |
|
|
67:57 | are being extended. And so these baby canals are what they do is |
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|
68:03 | allow cells to actually communicate with other in that network or in that, |
|
|
68:09 | that tissue. And so you get pattern, central canal concentric with the |
|
|
68:17 | where you have the osteocyte and you get a series of those rings. |
|
|
68:27 | , in order to get an artery into that central canal, there has |
|
|
68:30 | be a place where that blood vessel in and moves out of that |
|
|
68:35 | And so we have perforating canals this is a terrible picture and I'm |
|
|
68:40 | show you why because osteon are move , the the length of the long |
|
|
68:47 | . All right. So they, are as long as the long bone |
|
|
68:49 | . And this kind of suggests that , that this is a two |
|
|
68:53 | So basically, it's only this long that's not true. It's just this |
|
|
68:57 | portion right here is basically a hole goes through it. So it perforates |
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69:02 | the osteon. So think of a trunk and then dig in a hole |
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|
69:06 | the tree trunk that would be a . And then you take a bunch |
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|
69:12 | these when we said, remember if get a whole bunch of, |
|
|
69:15 | of uh pencils and I wrap them rubber bands, what I'm basically doing |
|
|
69:19 | using something to hold all those things . So we have Lali that are |
|
|
69:25 | like the rubber bands and so you see them on the outside. So |
|
|
69:29 | have uh a series of lamel that going around the entire circumference and we |
|
|
69:35 | them on the inside as well. the one on the outside is called |
|
|
69:39 | external circumferential lamel. And the one the side is the internal circumferential |
|
|
69:45 | And so what we're doing is basically , oh, as I'm building the |
|
|
69:49 | , I've got the shape of the bone. And so I'm laying down |
|
|
69:53 | or, or this, this osteoid the outside and basically it's just getting |
|
|
69:58 | and bigger and bigger and it's being down. Remember what we said on |
|
|
70:02 | outside, what do we have periosteum then right against the surface of the |
|
|
70:08 | , what do we have living We have the osteo progenitor cells. |
|
|
70:12 | have the osteoblasts and we have the . So I'm laying bone down on |
|
|
70:18 | outside and that's what's allowing the bone grow outward, forming that circumferential |
|
|
70:25 | And then we said, the oo sorry, the in ostium is made |
|
|
70:29 | of bone or these cells that are kind of wandering around. So what |
|
|
70:33 | they doing? They're laying down bone the inside, creating that barrier. |
|
|
70:38 | then if each of these things are , you'd expect there to be spaces |
|
|
70:43 | hole in between them, right? I get a series of round structures |
|
|
70:48 | put them together a series holes, expect there to be space in between |
|
|
70:53 | of them, right? Well, don't have that. And the reason |
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70:56 | , is again, you're gonna, when you build osteon, you're gonna |
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71:01 | to use circumferential lamel to kind of out the outer space. But what |
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71:05 | also do is you fill that interstitial with um osteoid as well, which |
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71:11 | interstitial Lali. And then if I down an osteon, um what I'm |
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71:18 | do is I'm gonna break it down I'm going to rebuild another one in |
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71:21 | place. And so some of Interstitial is left over a from when |
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71:25 | broke things down. So it's hard I'm always building up the bones. |
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71:31 | always building and breaking down and that's we see here. So, on |
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71:38 | outside, circumferential, on the circumferential, internal and external between the |
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71:47 | . Interstitial when they are here. in between. So far. So |
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71:54 | . Ok. Yeah. Yeah. osteogenic is more of a uh So |
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72:02 | question was, is osteopro and osteogenic same word? Does it mean the |
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72:07 | thing? So osteogenic, generally refers to the class of all |
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72:12 | So osteo when you ever, you progenitor, it is literally meaning stem |
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72:16 | . So osteopro is, is stem cell. So osteogenic is cells |
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72:21 | make bone, right? How are doing? Falling asleep? Yeah. |
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72:31 | of kind of. Yeah, Yeah, I see. Now see |
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72:36 | that causes a smile. Y you I'm falling asleep out there? |
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72:41 | I, I would have been asleep 30 minutes ago. Yeah. |
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72:46 | I'm in grad school. So my and I we met in grad |
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72:48 | We took a couple classes together and was one of two classes where they |
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72:54 | turned off all the lights and then uh slide three minutes. I'd fall |
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72:59 | . I was just, and then get kind of borrow your notes. |
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73:03 | we were dating. We weren't So she had no obligation at that |
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73:06 | to give me that for me and always got the higher grade. So |
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73:11 | don't. Yeah. Yeah, I tease her about that. Like I |
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73:20 | , I was a student. She . All right. When we look |
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73:24 | spongy bone, it's, they're not there, what we're forming are, |
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73:29 | are called trabecule. And so you kind of see here, here's the |
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73:33 | , they're built along stress lines, ? So the idea here is, |
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73:38 | the bone is kind of bending in direction. So what we need to |
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73:41 | is we need to create this, uh network of, of o osteoid |
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73:46 | in along this, along this Oh Wait, we found another stress |
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73:49 | . We're going to build another And so basically, this is why |
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73:51 | get this spongy looking pattern, this that you're kind of seeing here. |
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73:57 | if you were to take a slice a TBILI, does it look much |
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74:00 | than an osteon? What do you ? No, I mean, there |
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74:04 | no central canal. We don't need canals because there's not a lot of |
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74:08 | between the outside and the inside. what you'd have is you might have |
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74:14 | you can see here, it's, an osteocyte stuck in the network, |
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74:17 | there's another osteocyte. And what we've here is we've just cells in them |
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74:23 | , and basically created something that has and strength. All right. So |
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74:28 | have canicule that open up to the . You can see out here here |
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74:32 | the osteoblast blast. Um You can here, osteoclast are gonna break things |
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74:38 | . All right. So there's no vessels, no central canal, the |
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74:43 | can open up to the surface so nutrients can be delivered to the cells |
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74:47 | . Uh because these things are not large. So I think with regard |
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74:57 | the stuff that we've talked about, , bone formation is probably the most |
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75:03 | , right? Um You're sitting you, you can see me |
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75:10 | Do I wanna start this right You're like, no, I don't |
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75:13 | to do this right now. That's . Um We're gonna go ahead and |
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75:16 | here. Let me go. Look , here's the thing about bones, |
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75:20 | are pretty straightforward. It's just like gonna go through and name things and |
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75:23 | probably identify certain uh points of interest then we deal with articulations. Uh |
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75:30 | homework will include you standing in front the mirror doing silly dances like, |
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75:36 | am I doing? Yeah. it's just movement because the best learn |
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75:41 | is movement. All right, you dance, you can do whatever you |
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75:46 | to do. Whatever's gonna help because gonna build your own cheat sheet, |
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75:51 | ? So like on an exam, you're doing this, what's this |
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75:55 | You can do that in an So you're cheating, right? |
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76:00 | all right over |
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